Individual
TRACY KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5 NURSING HOME DR, CLAREMONT, NH 03743-7344
(603) 542-9511
Mailing address
64 E MOUNTAIN RD, NEWPORT, NH 03773-1961
(603) 863-5784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0720000536
VT
225X00000X
Occupational Therapist
Primary
1623
NH
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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